Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, July 21, 2020

Experimental and Computational Study on Motor Control and Recovery After Stroke: Toward a Constructive Loop Between Experimental and Virtual Embodied Neuroscience

Absolutely no clue how this could possibly help in stroke recovery. Lots of pages to read on your own, unless you are under the mistaken impression that your doctor is responsible and will do something useful with this. 

Experimental and Computational Study on Motor Control and Recovery After Stroke: Toward a Constructive Loop Between Experimental and Virtual Embodied Neuroscience

  • 1Neuroscience Institute, National Research Council, Pisa, Italy
  • 2European Laboratory for Non-Linear Spectroscopy, Sesto Fiorentino, Italy
  • 3Department of Excellence in Robotics & AI, The BioRobotics Institute, Scuola Superiore Sant'Anna, Pontedera, Italy
  • 4Aix-Marseille Université, Inserm, INS UMR_S 1106, Marseille, France
  • 5Paris-Saclay University, Institute of Neuroscience, CNRS, Gif-sur-Yvette, France
  • 6Department of Physics and Astronomy, University of Florence, Florence, Italy
  • 7Biorobotics Laboratory, École Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland
  • 8Fortiss GmbH, Munich, Germany
  • 9Bertarelli Foundation Chair in Translational NeuroEngineering, Institute of Bioengineering, Swiss Federal Institute of Technology (EPFL), Lausanne, Switzerland
  • 10Chair of Robotics, Artificial Intelligence and Embedded Systems, Department of Informatics, Technical University of Munich, Munich, Germany
  • 11Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway
  • 12Department of Biomedical Sciences, University of Padua, Padua, Italy
  • 13Blue Brain Project (BBP), École Polytechnique Fédérale de Lausanne (EPFL), Geneva, Switzerland
Being able to replicate real experiments with computational simulations is a unique opportunity to refine and validate models with experimental data and redesign the experiments based on simulations. However, since it is technically demanding to model all components of an experiment, traditional approaches to modeling reduce the experimental setups as much as possible. In this study, our goal is to replicate all the relevant features of an experiment on motor control and motor rehabilitation after stroke. To this aim, we propose an approach that allows continuous integration of new experimental data into a computational modeling framework. First, results show that we could reproduce experimental object displacement with high accuracy via the simulated embodiment in the virtual world by feeding a spinal cord model with experimental registration of the cortical activity. Second, by using computational models of multiple granularities, our preliminary results show the possibility of simulating several features of the brain after stroke, from the local alteration in neuronal activity to long-range connectivity remodeling. Finally, strategies are proposed to merge the two pipelines. We further suggest that additional models could be integrated into the framework thanks to the versatility of the proposed approach, thus allowing many researchers to achieve continuously improved experimental design.

1. Introduction

In nature, the activity of the brain of an individual interacting with the environment is conditioned by the response of the environment itself, in that the output of the brain is relevant only if it has the ability to impact the future and hence the input the brain receives. This “closed-loop” can be simulated in a virtual world, where simulated experiments reproduce actions (output from the brain) that have consequences (future input to the brain) (Zrenner et al., 2016). To the aim of reproducing in silico the complexity of real experiments, different levels of modeling shall be integrated. However, since modeling all components of an experiment is very difficult, traditional approaches of computational neuroscience reduce the experimental setups as much as possible. An “Embodied brain” (or “task dynamics,” see Zrenner et al., 2016) approach could overcome these limits by associating the modeled brain activity with the generation of behavior within a virtual or real environment, i.e., an entailment between an output of the brain and a feedback signal into the brain (Reger et al., 2000; DeMarse et al., 2001; Tessadori et al., 2012). The experimenter can interfere with the flow of information between the neural system and environment on the one hand and the state and transition dynamics of the environment on the other. Closing the loop can be performed effectively by (i) validating the models on experimental data, and (ii) designing new experiments based on the hypotheses formulated by the simulations. On the example shown in Figure 1, data on brain activity (be it, for instance, from electrophysiological recordings or imaging) and on the environment (e.g., by means of kinematic or dynamic measures) from the real experiment are used to feed the models of the in silico representation of the experiment. From a comparison of the real and model-based data, the features that are most important to replicate the real experiment are identified, and thus novel insights are generated (Figure 1). To realize such a complex virtual system, many choices can be made, for instance on the brain model or spinal cord model that best represent the salient features of experimental measures to be replicated. The ideal framework shall comprise a library of tools to choose from, to reproduce a variety of experimental paradigms in the virtual environment. By briefly introducing the state of the art in brain and spinal cord modeling, we will discuss few classes of models to pick from an ideal library.
FIGURE 1
www.frontiersin.org Figure 1. Scheme of the proposed Embodied brain framework. The picture suggests a closed-loop workflow linking real and simulated experiment. The different types of data obtained from the experiments, from brain activity to dynamic and kinematics of goal-directed movement, are used to feed the whole brain and spinal cord model, in addition to the virtual mouse and environment. The loop is closed by validation of in silico results on real data. Eventually, the simulated experiment raises novel hypotheses, to be validated on new real experiments.

Lots more at link.

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